Children have a high propensity to misinterpret situations, and need their perceptions about events validated. Different kinds of events call for different kinds of intervention and the insidious effects of chronic domestic violence have impact on the development and mental health of children exposed to abuse. We reviewed some of the methods for addressing the behavior during/ post abuse and consider here some of the generalities about the many conflicts that can arise in shared custody relationships.
According to Lundy Bancroft in his book, When Dad Hurts Mom, Helping Your Children Heal The Wounds of Witnessing Abuse, the deeper you delve into the child’s experience, the more you will be able to make them feel that you are holding them through their confusion and distress. Children experience domestic violence by seeing incidents happen or witnessing the after effects of an altercation, hearing the incidents take place, witnessing the impact on the survivor, and sensing the atmosphere of intimidation. But children’s interpretations and perceptions matter as much as their experiences. Children will often blame themselves for parental disputes and so it is important to learn what they understand about what had happened and to clarifying the feelings/meanings which they had assigned to events witnessed. Without exaggeration or over promising validate, reassure and clear up misconceptions. Most children hide their feelings, and as a result may exhibit abnormal side effects triggered by things that happen around them, confuse, or generate a strong emotional reaction. Researchers have found that a range of behavioral problems is common. Therefore encourage children to talk about their feelings and traumatic events explicitly to validate their sense of reality.
In fact, the emotional effects of witnessing domestic violence can be similar for children exposed to violence on a battlefield in that both groups endure loss, uprooting, and separation. But it may come as a surprise that the effects of domestic violence should be looked at as potentially more emotionally damaging to the survivor. Consider “symptoms of PTSD from crisis and domestic violence fall into 3 groups (Re-experiencing, Avoidance & Numbing; & Increased Arousal) here “Type 1 Traumas” are defined as responses to single, sudden, unexpected stressors and “Type II Traumas” long-standing, chronic stressors (e.g., chronic family violence). That “Type II traumas may result in secrecy and silence, (i.e. sexual abuse) Contrasts clearly with dramatic public events (i.e. disasters), Type II traumas.
Where children of war suffer along with adults collectively in an open setting, domestic violence survivors suffer privately and leading to stresses associated with disenfranchised grief. One can imagine the isolating effects embarrassment of sharing feelings may put on the survivor, and therefore recover take more time and additional therapy. “When much of what they heard and saw was remarkably similar to what the children of war heard and saw, these children were forced to endure their pain and sorrow in secrecy, silence, and isolation.” “Children Exposed to Domestic Violence” Helene Berman. Note, children who are able to “renew ties with at least one family member experienced fewer post-migration difficulties than those who lacked any family contact.” It reinforces that even though the separation of the abuser/survivor may be unavoidable for the adults involved, and even though the most dangerous time for the survivor is the period in which they are leaving the abuser, It would still very important for the children to maintain some semblance of the family unit. In allowing a child to maintain their relationship, we keep them feeling secure in their identity as apposed to separating children from an abuser can cause a fixation of thought, and that it is healthier for children caught in domestic violence situations to maintain contact and visitation (although forbidding communication with the survivor). Further, “Children of war typically experience “Cultural Bereavement” and subsequent identity problems as they strive to reconcile conflicting cultural values and beliefs” (Eisenbruck, 1988)
Sometimes an abuser may use visitations to undercut the survivors efforts, and attempt to create post-separation difficulties on the survivor. Survivors are encouraged not to speak badly about the abuser to their children. Researchers have found that the closer children feel to the abuser the more deeply hurt they are by their mistreatment. Here children may do an about-face and blame the survivor reproachfully asking them to forgive the abuser. Studies have also found that the closer children feel to the survivor, the better they do and that the better the children understand what is happening, the easier/healthier the situation can be. More work must be done to investigate the scope of broad effects domestic violence, and recognize the seriousness of the attention needed to access its effects on society.
Showing posts with label elder abuse. Show all posts
Showing posts with label elder abuse. Show all posts
APS, Family Rights & Challenges
The recent hospitalization of my grandfather led me to make an emergency trip to San Diego to check on his well-being. When I arrived I found my grandfather unable to walk, eat or swallow. He was somewhat confused, though he did say he had not seen my grandmother for several days. I tried to locate my grandmother, but could not find her. After checking with the charge nurse at her nursing home facility, I was informed that my grandfather’s power of attorney, filed eight years ago, gave him legal rights to authorize a dubious caregiver to remove my grandmother from the retirement facility and relocate her to the caregiver’s home. Apparently despite the recent decline in my grandfather’s physical and mental health, the power of attorney still held legal precedence. My lack of power of attorney or a conservatorship over my grandparents, restricted the police from acting on my request to remove my grandmother from the caregiver’s custody or terminate the caregiver. The police could only perform a “welfare check” and recommend that I contact Adult Protective Services (APS) for further assistance.Adult Protective Services, in California, is an agency that helps seniors of 65 years and older and dependent or disabled adults between the ages of 18 to 64. On the California Department of Social Services it breaks down the assistance provided by each agency: APS assists when seniors or disabled adults are “unable to meet their own needs, or are victims of abuse, neglect or exploitation”. APS investigates abuse of elders or dependent adults in “private homes and hotels or hospitals and health clinics when the abuser is not a staff member”. The California Department of Aging is responsible for investigating abuse that takes place in nursing homes, board and care homes, residential and long term care facilities. The California Department of Health Services “handles cases of abuse by a member of a hospital or health clinic.” The APS evaluates “abuse cases and arranges for services such as advocacy, counseling, money management, out-of-home placement, or conservatorship” as well as providing information, referrals to other agencies and public education of “Elder and Dependent Adult Abuse Reporting laws.” The services of APS are available to all regardless of income level (CDSS, 2007).
When I called the San Diego County APS on Saturday, I was dismayed to get their answering service, which informed me that their business hours were weekdays only from 8am to 5pm. I did however find a form on their website called “SOC 341,” a “Report of Suspected Dependent Adult/Elder Abuse.” The “SOC 341” form has sections to be filled out for information on the victim, suspected abuser, and reporting party (along with an option to waive confidentiality to specific parties or all). The form asks for incident information and designates two types of abuse categories. The category “Perpetrated by Others” offers a checklist for abuses of assault/battery, constraint or deprivation, sexual assault, chemical restraint, over/under medication, neglect, financial, abandonment, isolation, abduction or other. The category “Self-Neglect” offers a checklist for abuses of physical care, medical care, health and safety hazards, malnutrition/dehydration and other. The next section, “Abuse Resulted in”, has check box options for physical injury, death, mental suffering, minor medical care, hospitalization, care provider required or other. The last five sections ask about the reporter’s observations, targeted accounts, other people believed to have knowledge of abuse, others responsible for victim’s care, and report information.
While I was impressed with the depth of information that the APS form requires, I was displeased with the inability to contact APS on the weekend. The fact that my grandmother was in the custody of an untrustworthy caretaker, who was responsible for the disappearance of my grandfather’s car and miscellaneous valuables from their home including jewelry, antiques and furniture, led me to investigate a conservatorship further. Similar to guardianship of a minor, “a person under conservatorship is…a protected person” (Wikimedia, 2009). “A conservatorship can be set up after a judge decides that a person (called the "conservatee") can't take care of themselves or their finances. Then the judge chooses another person or organization (called the "conservator") to be in charge of the conservatee's care or finances, or both” (California Courts, 2009). My mother, now seeking a conservatorship of my grandparents, has to submit addresses of several relatives for notification. Both my grandfather and grandmother will be interviewed by social workers and my mother’s background will be investigated to consider her for the conservatorship.
At present financial abuse of the elderly is on the rise since the economy has collapsed. As seniors “usually have steady income -- Social Security and sometimes pension checks”, they are targeted in turbulent economic times. Although people generally consider “financial abuse…[as] phony investment schemes or Internet scams…attorneys say just as common are instances of exploitation perpetrated by a loved one or friend”. The most usual suspects of financial abuse are “in this order -- family, caretakers and new best friends”. Protecting seniors proves difficult if they have given authorization to bank accounts or signed over a power of attorney to the abuser. Without a power of attorney or conservatorship held by a trusted family member or friend, seniors continue to remain at risk.
While it is commendable to have an agency devoted specifically to the protection of seniors and disabled adults, APS needs to be available like other emergency services – 24 hours a day. APS should also work to make the public fully aware that without the legal action of a power of attorney or conservatorship, families will not be able to protect their loved ones.
References
Adult Protective services (APS). (2007). California Department of Social Services (CDSS). Retrieved from: http://www.cdss.ca.gov/agedblinddisabled/PG1298.htm
Conservatorship. (2009). Wikimedia Foundation Inc. Retrieved from: http://en.wikipedia.org/wiki/Conservatorship
Duties of a Conservator. (2009). California Courts Self-Help Center. Retrieved from:
http://www.courtinfo.ca.gov/selfhelp/seniors/duties.htm
Jun, C. (2009, July 27). Financial abuse of elderly rises as economy sinks. The Detroit News. Retrieved from: http://www.detnews.com/article/20090727/METRO/907270338/1409/METRO
SOC 341. (2006). Report of Suspected Dependent Adult/Elder Abuse. State of California. Health and Human Services Agency. Retrieved from: http://www.dss.cahwnet.gov/cdssweb/entres/forms/English/SOC341.pdf
All content © Village Memorial. 2009-2010.
Unethical Publication Subscription Practices
On my last visit to my grandparent’s house I discovered many duplicate copies of Reader’s Digest. Apparently my grandmother was receiving multiple subscriptions concurrently. As the name and address information on the mailing labels was exactly the same I could not understand why the magazine had not added the additional subscriptions to one subscription, instead of sending several copies each month.Confusion relating to magazine subscriptions is not hard to understand. I have received multiple requests for renewals with many of the publications I’ve subscribed to even after paying to renew them. However, when magazine subscriptions are foisted upon the elderly who spend much needed fixed income dollars on lengthy subscriptions that outlive them, we must demand accountability of these publishers.
A recent article I read in AARP’s Bulletin called “Outrage: A Runaround for Magazine Refunds” really hit home. Mr. Grantham found upon his father’s death (at age 93) that the poor man had subscribed to TV Guide through 2017 and U.S. News & World Report through 2023. “Grantham’s father would have been 108 years old by then” (Diament, 2009).
Even more disturbing than the fact this elderly man was duped into buying years of subscriptions was the fact that his son, upon his father’s death, was only able to cancel the subscriptions but not able to obtain a refund for the unsent (350 to 400) issues. Apparently the fact that “Grantham’s father purchased them through contracting companies, not directly from the magazines” (Diament, 2009) is the excuse given for the lengthy delay in refund.
The good news was that Mr. Grantham was able to secure an immediate refund from Newsweek magazine. A quick search online turned up other publications that offer refunds for unsent subscriptions: PC Magazine, Better Homes and Gardens, American Craft Magazine and others as well as magazine vendor: magazines.com.
Diament, M. (2009). Outrage: A Runaround for Magazine Refunds. AARP Bulletn retrieved from: http://bulletin.aarp.org/yourmoney/scamalert/articles/what_an_outragea_runaround_for_magazine_refunds.html
PC Magazine: https://www.zdmcirc.com/zdmcirc/default.asp?LK=popunder&I=ibmp
Better Homes and Gardens: http://au.lifestyle.yahoo.com/b/better-homes-gardens/1227/faqs/
American Craft Magazine: https://www.ezsubscription.com/acc/subscribe.asp?key=7809DP
Magazines.com: http://www.magazines.com/help/uninterrupted_subscription_service
All content © Village Memorial. 2009-2010.
Subscribe to:
Posts (Atom)
